Mediation Forms

You can download as PDF files the following forms:

Request for Mediation Form

Use this form to request a formal mediation. If you have questions or concerns about your situation or would like to visit with someone from the program, please feel free to get in touch with the Mediation office by phone (320-308-4098) or email.

Agreement to Mediate

The parties who agree to a mediation all sign this form, usually at the first meeting when all come together for the mediation. The mediator(s) will talk through the form with you at that time. Again, if you would like to visit with a mediator, including one of the coordinators, please don’t hesitate to email or call the Mediation office (320-308-4098).

Rule 1B.1 Addendum

Occasionally, parties who are involved in a Rule 1B.1 process decide to a mediation in an effort to resolve their issues informally. When this happens, they sign the 1B.1 Addendum in addition to the Agreement to Mediate.